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Dr. Josh
Dr. Josh, Doctor
Category: Health
Satisfied Customers: 5331
Experience:  Practicing Physician, Family Physician for 7 years
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I have a red, scaly patch of skin for over 1 year on the

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I have a red, scaly patch of skin for over 1 year on the sides of my mouth and chin. I've tried 1% hydrocortisone for a few days, Lotrimin for 10 days, and even had my mouth swabbed for candida. It does not itch, but has very defined lines. I have a picture I can send you if necessary. Thank you.
Welcome to Justanswer website.
Myself Dr Josh and I’m happy to help with your question today. Please provide me the following information so that I can address your concern appropriately.
Have you tried antibiotics?
What was the result for swab test?
Are you on any medications?
Is it painful to touch?
Do you have associated bumps on face?
Customer: replied 4 years ago.

I have not tried antibiotics (last time I was on antibiotics was over 20 months ago - I am allergic to amoxicillan and doxycycline).

The candida swab test came back normal.

I was not on meds when it began (but very recently started celexa and klonopin).

Not painful at all.

No bumps, little acne.

Thanks for quick input.
It sounds to be Perioral Dermatitis, It is a common skin rash which mainly affects young women. Such condition affects chin, cheeks.
The exact cause is still not clear.
Hormone factors may play a part in worsening of symptoms.
The line of treatment is-
1. Elidel (Pimecrolimus) cream application to the affected area twice a day.
2. You should avoid soaps, and use Cetaphil facial cleanser for cleaning the face.
3. You should take anti-oxidant Capsule Lumitene (Beta Carotene) 30 mg twice a day after meals for 4-6 weeks.
4. You should avoid hot and spicy foods. Avoid Fluorinated toothpastes.
I would suggest that you should consult dermatologist for management of this issue.
I hope this information helps.
If you have any further query then please feel free to ask.
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Best wishes
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